No condition other than as herein provided shall be exacted as a prerequisite to any such advance.

Assignment. - No assignment of this policy shall be binding upon the company until it he filed with the company at its said home office. The company assumes no responsibility as to the validity of any assignment.

Options on Surrender or Lapse. - After this policy shall have been in force three full years, the owner, within one month after any default, may elect (a) to accept the value of this policy in cash, or (b) to have the insurance continued in force from date of default, without future participation and without the right to loans, for its face amount including any outstanding dividend additions, less any indebtedness to the company hereon, or (c) to purchase non-participating paid-up insurance, payable at the same time and on the same conditions as this policy. The cash value will be the reserve at the date of default on this policy and on any dividend additions thereto, computed according to the --------

[designate mortality table adopted by the company for computing reserves] mortality table and interest at the rate of --------- [designate rate of interest adopted by the company for computing reserves] per centum per annum less

--------- There may be inserted not more than two and one-half] per centum of the amount insured by this policy and of any dividend additions thereto, and less any existing indebtedness to the company on this policy. Payment of such cash value may be deferred by the company not exceeding six months after the application therefor is made.

The term for which the insurance will be continued or the amount of paid-up policy will be such as the cash value will purchase as a net single premium at the attained age of the insured, according to the --------- [designate the mortality table adopted by the company for computing: reserves] mortality table and interest at the rate of --------- [designate rate of interest adopted by the company for computing reserves] per centum per annum. If the sum applicable to the purchase of temporary insurance shall be more than sufficient to continue the insurance to the end of the endowment term named in this policy, the excess shall be used to purchase in the same manner non-participating paid-up pure endowment, payable at the end of the endowment term and on the same conditions. If the owner shall not, within one month from default, surrender this policy to the company at its home office for a cash surrender value or for paid-up insurance, as provided in option (a) and (c), the insurance will be continued as provided in option (b).

The figures in the following tables are computed in accordance with the above provisions and upon the assumption that there is no indebtedness on the policy, and that there are no outstanding dividend additions.

(At the option of the company the following may be here inserted: "The figures apply to a policy for $1000. As this contract is for $---------, the loan, cash, paid-up insurance or pure endowment available in any year will be --------the amount stated in the table for that year.")

(Etc.)

Figures for later years will be furnished upon request.

Reinstatement. - In case of continued temporary insurance under the above provision this policy, upon evidence of insurability satisfactory to the company, may be reinstated within the first three years of the term for which the insurance is continued by payment of arrears of premiums with interest at ---------

[here insert not greater than six] per centum per annum.

Options at Maturity. - The insured, by written notice to the company at its home office, and with written consent of the assignee and irrevocable beneficiary, if any, may elect to have the net sum payable under this policy paid either in cash or as follows:

1. By the payment of interest thereon at --------- per centum per annum payable annually, to the payee under this policy at the end of each year during the life of the payee and by the payment upon the death of the payee of the said net sum, and accrued interest to the executors, administrators or assigns of the payee, unless otherwise directed in said notice.

2, By the payment of equal annual instalments for a specified number of years, the first instalment being payable immediately, in accordance with the following table for each $1000 of said net sum.

3. By the payment of equal annual instalments payable at the beginning of each year for a fixed period of twenty years and for so many years longer as the payee shall survive, in accordance with the following table for each $1000 of said net sum.

Instalments payable under option (2) or (3) which shall not have been paid prior to the death of the payee shall be paid, unless otherwise directed in said notice, to the said executors, administrators or assigns of the payee.

If the insured shall not have directed otherwise the beneficiary may, after the death of the insured, by like written notice and with the written consent of the assignee, if any, select either of the above options.

Unless otherwise specified by the insured, the payee may, on any interest date, receive the amount yet due under option (1), and may at any time receive the commuted value of payments yet to be made, computed upon the same basis as option (2), in the following table, provided that no such commutation will be made under (3), except after the death of the payee occurring within the aforesaid twenty years.

Table Of Instalments For Each $1,000 Option (2) Option (3)

Agents are not authorized to modify this policy or to extend the time for paying the premium.

In witness whereof, etc.

See references under 8 3870.